Individual provider Active NPI

Amanual H Gebrezgabher

  • Driver
  • Denver, CO
National Provider Identifier
1326410853
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
475297841 Issued in CO
Practice address
8822 E Florida Ave
Suite 114
Denver, CO 80247-2868
Phone
(720) 400-2030
NPI assigned
Oct 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 475297841 CO Primary

Addresses

Primary practice location

8822 E Florida Ave
Suite 114
Denver, CO 80247-2868

Mailing address

8822 E Florida Ave Apt 114
Suite Number 114
Denver, CO 80247-2819
Phone (720) 400-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
475297841COMDDriver

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1326410853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 E FLORIDA AVE APT 114",
            "address_2": "SUITE NUMBER 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472819",
            "telephone_number": "720-400-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 E FLORIDA AVE",
            "address_2": "SUITE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472868",
            "telephone_number": "720-400-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREZGABHER",
        "first_name": "AMANUAL",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "475297841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.